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Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC
Active
Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA STOUT (V.P. FINANCE)
(410) 532-3905
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
30029
MD
261QR0200X
Radiology Clinic/Center
Primary
30029
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414461900
—
MD
01
—
8128
CAREFIRST BLUECROSS BLUE SHIELD DC
MD
01
—
82FHGO
CAREFIRST BLUECROSS BLUESHIELD MD
MD
Enumeration date
07/31/2008
Last updated
07/31/2008
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